| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,208 |
7,921 |
$524K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
988 |
875 |
$187K |
| 99215 |
Prolong outpt/office vis |
3,410 |
2,749 |
$178K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,253 |
2,556 |
$79K |
| 80306 |
|
5,473 |
4,474 |
$60K |
| 90834 |
Psychotherapy, 45 minutes with patient |
757 |
585 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
330 |
312 |
$19K |
| 99442 |
|
355 |
211 |
$8K |
| 99443 |
|
220 |
138 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
383 |
368 |
$4K |
| 90791 |
Psychiatric diagnostic evaluation |
50 |
49 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
38 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
32 |
32 |
$3K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
36 |
34 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
160 |
150 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
962 |
912 |
$2K |
| 90686 |
|
180 |
175 |
$1K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
133 |
129 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
99 |
$755.44 |
| 90670 |
|
54 |
51 |
$577.27 |
| 99188 |
|
49 |
49 |
$491.31 |
| 80053 |
Comprehensive metabolic panel |
89 |
88 |
$486.15 |
| 90682 |
|
13 |
13 |
$478.94 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
66 |
64 |
$472.24 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$166.76 |
| 80061 |
Lipid panel |
12 |
12 |
$157.02 |
| 99000 |
|
13 |
12 |
$144.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$90.16 |
| 96127 |
|
12 |
12 |
$46.79 |
| 98968 |
|
46 |
37 |
$5.98 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
32 |
24 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |